| Joseph Nguyen DO Inc | |
|
14571 Magnolia St Ste 105 Westminster CA 92683-5575 | |
| (714) 892-1313 | |
| (714) 891-8799 |
| Full Name | Joseph Nguyen DO Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14571 Magnolia St Ste 105, Westminster, California |
| Authorized Official Name and Position | Joseph Nguyen (DO/OWNER) |
| Authorized Official Contact | 7142302269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Nguyen DO Inc 14132 Swan St Westminster CA 92683-4734 | Joseph Nguyen DO Inc 14571 Magnolia St Ste 105 Westminster CA 92683-5575 Ph: (714) 892-1313 |
| NPI Number | 1366717084 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 12/22/2015 |
| Medicare PECOS PAC ID | 7214230390 |
|---|---|
| Medicare Enrollment ID | O20160122002292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366717084 | NPI | - | NPPES |
| 20A11005 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11005 (California) | Primary |
| Provider Name | Joseph Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952600850 PECOS PAC ID: 3375715220 Enrollment ID: I20120725000767 |
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